NPI | 1821114588 |
---|---|
Doing Business As | LAKEVIEW HOME ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | JOHN CASTILLO Administrator 907-727-4993 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 000235 000175 100495) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2008-07-03 |